| Doctor Name: | CAMILLE MARIE MCINTOSH-GRAY |
| NPI Number: | 1265695100 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT009283 |
| Business Practice Address: | 1430 Five Forks Trickum Rd Suite 210 Lawrenceville, GA - 300448182 |
| Business Phone Number: | 6783771738 |
| Business Fax Number: | |
| Mailing Address: | 10700 Medlock Bridge Rd, Suite 105 DULUTH |
| State: | GA |
| Postal Code: | 300978456 |
| Phone Number: | 7706230105 |
| Fax Number: | |
| NPI Enumeration Date: | 07/09/2008 |
| NPI Last Update Date: | 10/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT009283 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |